Form DH3212 Health Insurance Application for Extended Family Planning Benefits - Florida

What Is Form DH3212?

This is a legal form that was released by the Florida Department of Health - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

• Released on November 1, 2006;
• The latest edition provided by the Florida Department of Health;
• Easy to use and ready to print;
• Quick to customize;
• Compatible with most PDF-viewing applications;
• Fill out the form in our online filing application.

Download a printable version of Form DH3212 by clicking the link below or browse more documents and templates provided by the Florida Department of Health.